妊娠期糖尿病对母婴围产结局的影响

李艳1，康伟2

（1.陕西省吴堡县人民医院妇产科，陕西 榆林，718299；2.陕西省榆林市第一人民医院妇产科，陕西 榆林，719400）

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摘要：

目的 分析妊娠期糖尿病对母婴围产结局的影响。方法 选取2012年3月至2014年6月我院收治的妊娠期糖尿病产妇40例作为观察组，再选取健康产妇40例作为对照组，将两组产妇妊娠结局、并发症发生率、新生儿结局进行对比。结果 对照组健康产妇的妊娠结局明显优于观察组妊娠期糖尿病产妇，差异具有统计学意义（P<0.05）；观察组产妇并发症发生率明显高于对照组，差异具有统计学意义（P<0.05）；对照组新生儿结局明显优于观察组，差异具有统计学意义（P<0.05）。结论 妊娠期糖尿病不仅易增加产妇与胎儿的并发症发生率，而且还严重影响母婴围产结局，而早期对产妇进行血糖值诊断，能有效减少剖宫产、早产情况发生，再对产妇采用三级预防措施，不仅能减少产妇并发症发生率，还能改善围产儿预后情况。

关键词：妊娠期糖尿病；健康产妇；母儿围产结局

中图分类号：R714.2文献标志码：A文章编号：2096-1413(2016)24-0140-02

Gestational diabetes mellitus and its effect on perinatal outcome
LI Yan 1, KANG Wei 2
(1. Department of Gynecology and Obstetrics, People``s Hospital of Wubu County, Yulin 718299; 2. Department of Gynecology and Obstetrics, the First People``s Hospital of Yulin City, Yulin 719400, China)

ABSTRACT: Objective To analyze the effect of gestational diabetes mellitus on perinatal outcome. Methods Forty cases of maternal with gestational diabetes mellitus admitted in our hospital from March 2012 to June 2014 were selected as the observation group, and 40 cases healthy maternal in the same period were selected as the control group. The maternal pregnancy outcomes, complications and neonatal outcomes were compared between two groups. Results The pregnancy outcome of healthy maternal in control group was significantly better than that of the observation group, the difference was statistically significant (P<0.05). The incidence rate of complication rate in the observation group was significantly higher than that in the control group, which showed significant difference (P <0.05). The neonatal outcomes of the control group were significantly better than those of the observation group, the differences were statistically significant (P<0.05). Conclusion Gestational diabetes not only can increase the maternal and fetal complications, but also have a strong impact on perinatal outcome. The early blood glucose dagnosis of the maternal can effectively reduce the cesarean section and premature birth occurrence. Otherwise the maternal use of tertiary prevention measures, not only can reduce the incidence of maternal complications, but also can improve the perinatal prognosis.
KEYWORDS: gestational diabetes mellitus; healthy maternal; maternal and perinatal outcomes

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